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NPI Code Detail

MEDICARE: BRIAN D AFFLECK MD

MEDICARE: BRIAN D AFFLECK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianMD154152OR
2207Y00000XOtolaryngology Physician5874AK
3207Y00000XOtolaryngology PhysicianM-6075ID

General Provider Information

NPI Number : 1386633824
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN D AFFLECK MD
Provider Business Mailing Address
First Line : 215 E HAWAII AVE
Second Line : SALTZER MEDICAL GROUP
City : NAMPA
State : ID
Zip : 83686-6011
Country : US
Telephone Number : 208-463-3000
Fax Number : 208-465-4825
Provider Business Practice Location Address
First Line : 215 E HAWAII AVE
Second Line : SALTZER MEDICAL GROUP
City : NAMPA
State : ID
Zip : 83686-6011
Country : US
Telephone Number : 208-463-3000
Fax Number : 208-465-4825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/19/2021

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Directions to “ BRIAN D AFFLECK MD” Practice Location

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